Flashcards in Biliary disease Deck (14):
What is PBC?
Damage to bile ducts, causing scarring and obstruction of bile outlfow
How does PBC present?
Most common in middle age women
Normally an incidental finding
Symptoms; Itch, fatigue, xanthelasma
How do you diagnose PBC?
Positive autoantimitochondrial antibodies
How do you treat PBC?
What is primary sclerosing cholangitis?
Autoimmune destruction of large and medium sized bile ducts
What is the clinical presentation of PSC?
How do you diagnose PSC?
Imaging of the biliary tree
How do you treat PSC?
Maintain bile flow
Monitor for cholangiocarcinoma and colo-rectal cancer
Why do we get gallstones?
Abnormal bile composition
What are the common risk factors for gallstones?
High fat diet
What are the 5 Fs of gallbladder disease?
Fair, fat, female, fertile and over forty
How do you diagnose gallstones?
What are the four stages of cholangiocarcinoma?
I - Below the confluence
II - Confined to confluence
III - Extension into right or left hepatic ducts
IV - Extension into both the right and left hepatic duct